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3554 W. Mt. Whitney Avenue Riverdale CA 93656 | |
(559) 867-4000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 3554 W. Mt. Whitney Avenue, Riverdale, California |
Authorized Official Name and Position | John Blaine (CEO) |
Authorized Official Contact | 5599258800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 700 Avenal CA 93204-0700 Ph: (559) 386-4500 | 3554 W. Mt. Whitney Avenue Riverdale CA 93656 Ph: (559) 867-4000 |
NPI Number | 1154736429 |
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Provider Enumeration Date | 06/25/2014 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 5597782144 |
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Medicare Enrollment ID | O20141107000910 |
Identifier | Type | State | Issuer |
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1154736429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Valley Maternal & Child Care Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 Phone: 559-867-4416 Fax: 559-867-3010 | |
Central Valley Multispecialty Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20647 Malsbary St, Riverdale, CA 93656 Phone: 559-867-4416 | |